CE 1: Fundamentals in Nursing 1 Quiz

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Questions and Answers

What is a beneficial approach for clients with impairments during meal preparation?

Ask the client their preferred order for eating and cut food into bite-size pieces. (correct)

Serve meals without any identification to encourage independence.

Remove all distractions from the dining area to focus on the meal.

Provide them with utensils that require fine motor skills to use.

Which technique is appropriate for facilitating communication with a non-verbal client?

Ignoring their non-verbal cues and only speaking.

Using a picture board to facilitate communication. (correct)

Forcing the client to use their own voice.

Speaking loudly to ensure they can hear.

What nursing diagnosis is suitable for a patient having difficulties with feeding?

Excessive Appetite.

Altered Sense of Taste.

Impaired swallowing. (correct)

Avoidance of Food.

What is the best action to prevent skin breakdown during dressing changes?

Alternating between different types of adhesive tapes to avoid irritation. Signup and view all the answers

Which behavior indicates that further teaching is necessary when using an incentive spirometer?

The patient holds their breath after every inhalation. Signup and view all the answers

How can meals be visually organized to assist disoriented clients?

Using a plate layout resembling a clock to identify food locations. Signup and view all the answers

What is a common misconception about using an interpreter for communication?

Interpreters should only be used for written communication. Signup and view all the answers

What is the term used interchangeably with both conceptual model and grand theories?

Framework. Signup and view all the answers

What is the main purpose of offering a patient a bedpan or urinal?

Reduces transmission of microorganisms. Signup and view all the answers

What technique should a nurse teach a client to facilitate maximal expansion of the upper and lower lung lobes?

Long breaths with pause in between. Signup and view all the answers

Why is it important to encourage splinting of the chest and abdomen during respiratory secretion removal?

To promote comfort. Signup and view all the answers

What is the rationale for positioning a client upright during feeding?

Reduces risk of choking and aspiration. Signup and view all the answers

Which of the following describes beliefs and values that define a way of thinking generally understood by a group?

Philosophy. Signup and view all the answers

What is the best method for facilitating a client's independence during mealtime?

Providing assistive devices as needed. Signup and view all the answers

What is the primary rationale for using several layers of toilet tissue or perineal wipes when cleaning a client's anal area?

Cleansing from the area of lesser contamination to greater contamination. Signup and view all the answers

What is a domain in nursing practice primarily concerned with?

Shared understanding and assumptions about reality. Signup and view all the answers

Which of the following defines representations that show interactions among concepts?

Model. Signup and view all the answers

Which of the following actions should a nurse take when assisting a mobile client with using a bedpan? Select all that apply.

Remove the bedpan cover and place it in an accessible location. Signup and view all the answers

What type of skills does therapeutic use of self involve for the nurse?

Both verbal and nonverbal communication. Signup and view all the answers

What is the rationale for a nurse standing close to a client during feeding?

To assist the client in minimizing the risk of aspiration. Signup and view all the answers

During the nursing process, which of the following phases does the action of formulating a diagnosis belong to?

Diagnosis Signup and view all the answers

How should a nurse approach assisting a client who cannot eat independently?

Ask the client about any religious or cultural preferences before feeding. Signup and view all the answers

In nursing practice, what is the significance of removing the bedpan cover when assisting a client?

It promotes comfort and ensures the bedpan is ready for use. Signup and view all the answers

When using a bedpan, how should it be positioned against a client's body?

Firmly against the client's buttocks, ensuring the open rim is toward the foot of the bed. Signup and view all the answers

What is the primary goal of assisting a patient in gaining independence?

To help the patient perform unaided if capable Signup and view all the answers

Which of the following is the first step a nurse should take before using incentive spirometry?

Assess the patient's respiratory status Signup and view all the answers

What is an appropriate nursing diagnosis for a patient who may require incentive spirometry?

Ineffective airway clearance Signup and view all the answers

How often should a nurse check the edematous skin during a cold application?

Every 15 minutes Signup and view all the answers

During a patient interview, long pauses of silence indicate which of the following?

The patient needs more time to think Signup and view all the answers

Which of the following actions best helps a nurse assess a patient’s ability to self-feed?

Assess motor skills and visual acuity Signup and view all the answers

What is an example of an open-ended question a nurse might ask during an interview?

How did you sleep last night? Signup and view all the answers

Which W.H.O. moment is associated with protecting patients from harmful germs?

W.H.O moment no. 4 Signup and view all the answers

Why are small pieces of food recommended for clients who have recently sustained an injury?

They are easier to chew and minimize the risk of aspiration. Signup and view all the answers

What is the significance of auscultating the abdomen for bowel sounds?

Normal bowel sounds occur irregularly at a rate of 5 to 35 minutes. Signup and view all the answers

In the context of assessing a client who is pale, diaphoretic, and restless, which of the following represents subjective data?

The client’s request to be left alone. Signup and view all the answers

What would indicate that a client is using a bedpan correctly?

The client successfully defecates in the bedpan. Signup and view all the answers

Which assessment indicates a potential issue with bowel health?

Client expresses discomfort during elimination. Signup and view all the answers

What considerations might affect how a nurse interacts with clients during care?

The nurse's knowledge of the client's cultural background. Signup and view all the answers

Which of the following would likely be an expected outcome for assisting a client with a bedpan?

Perineal skin remains clear and intact. Signup and view all the answers

What is the primary goal in creating a comfortable environment for a patient following an injury?

To promote a psychologically comforting and caring atmosphere. Signup and view all the answers

Study Notes

Nursing Practice Fundamentals

Offering a bedpan or urinal, along with toilet tissue, alleviates patient anxiety and encourages cooperation.
Encouraging splinting of the chest during respiratory secretions removal helps build pressure in the lungs and increases comfort.
Teaching patients to perform upper and lower lung expansion exercises promotes maximal lung expansion.

Positioning and Feeding

Positioning a client upright during feeding enhances comfort and may increase nutritional intake.
Assisting clients during feeding includes asking about cultural preferences and cutting food into bite-sized pieces to reduce aspiration risk.
Non-verbal communication, such as using a picture board, is vital for assisting non-verbal clients.

Nursing Process and Diagnosis

The nursing process includes assessment, diagnosis, planning, implementation, and evaluation stages.
Nursing diagnosis examples include "Impaired swallowing" and "Risk for aspiration," indicating a need for care adjustments.
Proper technique during bedpan use is critical for comfort and hygiene, including minimizing contamination risks.

Communication Skills

Verbal and non-verbal communication skills are essential for effective nurse-client interactions.
Encouraging open-ended questions helps healthcare professionals gather comprehensive patient information.

Assessment Techniques

Assessing bowel sounds is crucial for determining normal gastrointestinal function, with sounds occurring 5 to 35 times per minute.
Understanding patient behavior and responses during feeding helps identify cognitive or physical impairments.

Skin Care and Infection Control

Careful dressing changes prevent skin breakdown and reduce infection risks; monitoring the skin for any complications is essential.
Adhering to hand hygiene principles during patient care minimizes the risk of exogenous infections.

Incentive Spirometry and Respiratory Care

Pre-use assessment for incentive spirometry includes evaluating patient respiratory status and ability to self-feed.
Regular monitoring of patients using incentive spirometry is crucial for identifying the need for further teaching.

Therapeutic Use of Self

Effective therapeutic use of self in nursing involves combining both verbal and non-verbal strategies, fostering trust and communication with clients.

Patient Independence

Encouraging patient independence involves providing necessary assistive devices and involving family during meal times to enhance comfort and autonomy.

Cold Application Guidelines

During cold applications, regular monitoring of the skin condition helps assess the patient's reaction and ensure safety during treatment.

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Description

Test your understanding of fundamental nursing concepts, focusing on patient care practices such as the importance of offering a bedpan or urinal. This quiz will assess your knowledge of shared understandings and assumptions in nursing. Prepare to explore essential patient interactions and care procedures.